| NPI | 1225211717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015417) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: AZ TSLP5694) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2024-05-16 |